A normal lactate does NOT rule out mesenteric ischemia because it only rises later on in the process

Guillain-Barré is the most common cause of acute flaccid paralysis in children
Free quick EM guide to AIDP: buff.ly/4cPXjus

PID is an acute infection of the upper female genital tract that ascends from an anatomically lower region. Gonococcal PID is more clinically severe than PID caused by Chlamydia
#WCW #WomensHealth

In Dengue fever, do NOT give ASPIRIN or other NSAIDS because of their anticoagulant properties - control fevers with acetaminophen & external cooling (treatments are supportive)
Here's a preview of our subscription podcast EM Rapid Bombs (link in profile)

Interesting to see the results of this poll!

Over half of you (60%) said that this was pericardial effusion; while 40% said this was pleural effusion.

If the patient is deemed “high risk” for PE based on Wells: go immediately to CT, do not pass go, do not order a dimer.

Severe hypothyroidism triad: Somnolence, hypothermia, decreased metabolic state. You can also be clued in by hypotension, bradycardia, or hypoventilation.

#TraumaTuesday
How would you manage this tube? It's bloody, unstable, & the mouth is fully of broken teeth. We'd say: double suction, direct, bougie (tactile feedback is clutch when you can't see). Thoughts from anyone else?
Free airway module: buff.ly/3LCbBRK

The systolic murmur of HCM is due to LV outflow obstruction as hypertrophied LV muscle slaps against the septum. So anything that decreases blood in the LV will cause more LV outflow obstruction, making the murmur louder (valsalva, standing up, nitroglycerin)

Anterior cerebral artery stroke: gait impairment due to weakness and SENSORY LOSS in the contralateral foot +/- mental status changes

EM doc? You've got to know tpa contraindications like the back of your hand! Here's our simplified list

What if Blake Briggs, MD and iltifatMD told you that the biggest killer of dialysis patients isn’t hyperkalemia? That’s exactly what they do in this month’s EM Board bombs.

tinyurl.com/BoardBombs-EMN #FOAMed

'Axillary fold hyperpigmentation' is an exam buzzphrase for primary adrenal insufficiency (may also be of the mucous membranes and/or nipples) as this is the most specific physical exam finding. Keep this on the differential for a hyponatremic and/or hypoglycemic patient

In patients with Myasthenia Gravis, hypotension isn’t usually a part of the disease pathology and other causes should be worked up. Remember that some of these patients are on chronic steroids (ie immunosuppressed and at risk for adrenal suppression)

Them: but resuscitation of DKA with NS is our protocol and we've always done it that way

Us:

Is coffee healthy? ☕️

There has been a lot of debate recently regarding whether or not coffee is healthy

Many people have recommended avoiding coffee all together for various reasons including cortisol release, acidity, heart health, and various other factors

Most of these…

“We can’t inject contrast because the GFR is too low”

Me:

Proctitis is inflammation of the distal 10-12 cm of the anal canal causing pain with defecation. Remember that immunocompromised patients are at risk for CMV or clostridium difficile proctitis.

Eye pain in trauma is something that get really bad, really fast. There are two treatment modalities you need to know. One of those we know you know, the other...maybe not?
Ep20 of EMRapidBombs has the answer buff.ly/3vbOF3p